2500125 — hydrOXYzine Hydrochloride 10 Mg Tab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). hydrOXYzine hydrochloride 10 mg Tab (CDM 2500125) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2500125?code_type=CDM
MLA (9th ed.)
“hydrOXYzine hydrochloride 10 mg Tab (CDM 2500125) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2500125?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“hydrOXYzine hydrochloride 10 mg Tab (CDM 2500125) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2500125?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11–$1,821 (25th–75th percentile) across 6 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2500125 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| MCLAREN CARO REGION Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| MCLAREN CARO REGION Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Commercial | $3.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Superior HealthPlan | Commercial | $4.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Amerigroup | Medicare Advantage | $4.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Amerigroup | Children's Health Insurance Program | $4.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | ChoiceCare Network | Commercial | $4.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | HMO | $5.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | $5.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Wellpoint | Commercial | $5.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Humana | PPO | $5.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | PPO | $5.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | Medicare Advantage HMO | $7.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Amerigroup | Medicare Advantage | $7.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | Medicare Advantage PPO | $7.00 | $7.00 | $7.00 | 2026-01-16 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Curative | Commercial | $10.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Cigna | Commercial | $11.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Aetna | Commercial | $11.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Blue Essentials | $12.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Blue Advantage | $12.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | PPO | $13.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Commercial | $13.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Three Rivers Provider Network | Commercial | $14.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | HealthSmart Preferred Care | Commercial | $15.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Health Advantage Network | Commercial | $15.00 | $17.00 | $17.00 | 2025-07-03 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage HMO | $23.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $24.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $25.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Commercial | $26.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | HealthSmart | Commercial | $30.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Cigna | Commercial | $30.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Alliance Regional | Commercial | $31.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Medicare Advantage PPO | $33.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue HMO | $33.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| HANSFORD COUNTY HOSPITAL Outpatient | 90 Degrees | Commercial | $35.00 | $33.00 | $25.00 | 2025-06-05 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Managed Medicare | — | — | — | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | $0.01 | $0.01 | 2025-12-11 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | United Healthcare | Medicare Advantage | $3,684.00 | $7,675.00 | $7,675.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Midlands Choice | Commercial | $6,140.00 | $7,675.00 | $7,675.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Medica | Commercial | $7,215.00 | $7,675.00 | $7,675.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | United Healthcare | Commercial | $7,215.00 | $7,675.00 | $7,675.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Both | Blue Cross Blue Shield | Commercial | $7,291.00 | $7,675.00 | $7,675.00 | 2026-06-09 | MRF ↗ |